Active NPI
Mark Howard Strom, N.M.D.
- General Practice Physician
- Scottsdale, AZ
National Provider Identifier
1235220294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 08-1048
- Practice address
- 14301 N 87TH St
Suite 101
Scottsdale, AZ 85260-3686 - Phone
- (480) 219-2351
- Fax
- (480) 314-0628
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 08-1048 | AZ | Primary |
Addresses
Primary practice location
14301 N 87TH St
Suite 101
Scottsdale, AZ 85260-3686
Mailing address
14301 N 87TH St
Suite 101
Scottsdale, AZ 85260-3686
Phone (480) 219-2351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08-1048 | AZ | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Management Clinic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Scottsdale, AZ
- NPI 1619147865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1235220294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14301 N 87TH ST",
"address_2": "SUITE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603686",
"telephone_number": "480-219-2351",
"fax_number": "480-314-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14301 N 87TH ST",
"address_2": "SUITE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603686",
"telephone_number": "480-219-2351",
"fax_number": "480-314-0628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STROM",
"first_name": "MARK",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "N.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "AZ",
"license": "08-1048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.